Scherf F G, Karger B, Pastor J, Bücker-Nott H J
Chirurgische Universitätsklinik, Marienhospital Herne, Ruhr-Universität Bochum.
Urologe A. 1996 Jul;35(4):342-4.
Two cases illustrating the difficult differential diagnosis of left-sided pain in the coincidence of nephropathy and aortic aneurysm are described. In both cases an aortic aneurysm was discovered, although the aneurysm caused the pain in the side in only one case. In particular, older men with recently occurring side or back pain must be examined with regard to aortic aneurysm. As the classic symptoms of a ruptured aneurysm are frequently disguised, aneurysm must always be considered as a cause of left-sided pain.
本文描述了两例肾病与主动脉瘤并存时左侧疼痛的鉴别诊断困难的病例。在这两例中均发现了主动脉瘤,尽管仅在其中一例中动脉瘤导致了患侧疼痛。特别是,对于近期出现侧方或背部疼痛的老年男性,必须检查是否存在主动脉瘤。由于动脉瘤破裂的典型症状常常被掩盖,因此必须始终将动脉瘤视为左侧疼痛的一个病因。